Individual
SUYANTO JUJUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-7570
Mailing address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-7570
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
18876
CA
Other
Enumeration date
09/22/2018
Last updated
11/19/2021
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